Quick Overview
- 1#1: DrFirst Rcopia - Leading standalone electronic prescribing platform with real-time formulary checks, prior authorizations, and error prevention for providers.
- 2#2: RXNT - Cloud-based e-prescribing software integrated with EHR, billing, and scheduling for efficient prescription management.
- 3#3: athenahealth - Comprehensive cloud EHR with advanced e-prescribing features including patient engagement and revenue cycle management.
- 4#4: Practice Fusion - Free cloud-based EHR offering integrated electronic prescribing for small practices with charting and scheduling.
- 5#5: Kareo - Practice management and EHR platform with seamless e-prescribing, billing, and telehealth capabilities.
- 6#6: CharmHealth - All-in-one EHR solution providing robust e-prescribing, patient portal, and compliance tools for independent providers.
- 7#7: eClinicalWorks - Integrated EHR and practice management system with electronic prescribing, population health, and telehealth features.
- 8#8: Epic Systems - Enterprise EHR platform delivering sophisticated e-prescribing with interoperability and clinical decision support.
- 9#9: Cerner - Health IT suite with electronic prescribing integrated into comprehensive EHR for hospitals and large practices.
- 10#10: Allscripts - EHR and connectivity platform supporting e-prescribing with population health and analytics tools.
Tools were ranked based on key factors including robust feature sets (real-time checks, prior authorizations, error prevention), user experience (usability, training support), reliability, and overall value, ensuring they meet the diverse needs of providers, practices, and healthcare systems.
Comparison Table
This comparison table analyzes essential features, integration strengths, and user-centric design of leading E Prescribe Software, such as DrFirst Rcopia, RXNT, athenahealth, Practice Fusion, Kareo, and additional tools. Readers will gain clarity on how each platform stacks up—from prescription accuracy tools to compatibility with electronic health records—enabling them to select the best fit for their practice’s unique needs.
| # | Tool | Category | Overall | Features | Ease of Use | Value |
|---|---|---|---|---|---|---|
| 1 | DrFirst Rcopia Leading standalone electronic prescribing platform with real-time formulary checks, prior authorizations, and error prevention for providers. | specialized | 9.6/10 | 9.8/10 | 9.2/10 | 9.4/10 |
| 2 | RXNT Cloud-based e-prescribing software integrated with EHR, billing, and scheduling for efficient prescription management. | specialized | 8.7/10 | 9.1/10 | 8.4/10 | 8.2/10 |
| 3 | athenahealth Comprehensive cloud EHR with advanced e-prescribing features including patient engagement and revenue cycle management. | enterprise | 8.7/10 | 9.2/10 | 7.9/10 | 8.1/10 |
| 4 | Practice Fusion Free cloud-based EHR offering integrated electronic prescribing for small practices with charting and scheduling. | specialized | 8.2/10 | 8.0/10 | 8.5/10 | 9.5/10 |
| 5 | Kareo Practice management and EHR platform with seamless e-prescribing, billing, and telehealth capabilities. | specialized | 8.1/10 | 8.5/10 | 7.7/10 | 7.6/10 |
| 6 | CharmHealth All-in-one EHR solution providing robust e-prescribing, patient portal, and compliance tools for independent providers. | specialized | 7.8/10 | 8.0/10 | 7.5/10 | 8.2/10 |
| 7 | eClinicalWorks Integrated EHR and practice management system with electronic prescribing, population health, and telehealth features. | enterprise | 7.8/10 | 8.4/10 | 6.9/10 | 7.5/10 |
| 8 | Epic Systems Enterprise EHR platform delivering sophisticated e-prescribing with interoperability and clinical decision support. | enterprise | 8.3/10 | 9.5/10 | 6.7/10 | 7.2/10 |
| 9 | Cerner Health IT suite with electronic prescribing integrated into comprehensive EHR for hospitals and large practices. | enterprise | 8.2/10 | 9.1/10 | 7.4/10 | 7.6/10 |
| 10 | Allscripts EHR and connectivity platform supporting e-prescribing with population health and analytics tools. | enterprise | 7.8/10 | 8.2/10 | 7.0/10 | 7.5/10 |
Leading standalone electronic prescribing platform with real-time formulary checks, prior authorizations, and error prevention for providers.
Cloud-based e-prescribing software integrated with EHR, billing, and scheduling for efficient prescription management.
Comprehensive cloud EHR with advanced e-prescribing features including patient engagement and revenue cycle management.
Free cloud-based EHR offering integrated electronic prescribing for small practices with charting and scheduling.
Practice management and EHR platform with seamless e-prescribing, billing, and telehealth capabilities.
All-in-one EHR solution providing robust e-prescribing, patient portal, and compliance tools for independent providers.
Integrated EHR and practice management system with electronic prescribing, population health, and telehealth features.
Enterprise EHR platform delivering sophisticated e-prescribing with interoperability and clinical decision support.
Health IT suite with electronic prescribing integrated into comprehensive EHR for hospitals and large practices.
EHR and connectivity platform supporting e-prescribing with population health and analytics tools.
DrFirst Rcopia
specializedLeading standalone electronic prescribing platform with real-time formulary checks, prior authorizations, and error prevention for providers.
MedHx medication history aggregation from 280+ sources for the most accurate, real-time patient med profiles
DrFirst Rcopia is a premier electronic prescribing (eRx) platform that enables healthcare providers to send prescriptions electronically to pharmacies nationwide, integrating seamlessly with over 200 EHR/EMR systems. It provides advanced clinical decision support, including real-time drug interaction alerts, formulary checks, and prior authorization capabilities, while ensuring full compliance with DEA regulations for controlled substance e-prescribing (EPCS). Rcopia's MedHx medication history service aggregates data from pharmacies, PBMs, and health information exchanges for comprehensive patient medication profiles, significantly enhancing safety and efficiency.
Pros
- Broadest pharmacy network coverage with over 99% of U.S. pharmacies
- Advanced clinical decision support and real-time alerts reducing errors
- Seamless EPCS support and MedHx for complete medication history
Cons
- Higher pricing may strain small practices
- Initial EHR integration can require IT support
- Occasional workflow customizations needed for optimal use
Best For
Large practices, hospitals, and multi-provider organizations needing robust, compliant e-prescribing with deep EHR integrations and nationwide pharmacy reach.
Pricing
Subscription-based starting at ~$145 per provider/month, with enterprise pricing and volume discounts available.
RXNT
specializedCloud-based e-prescribing software integrated with EHR, billing, and scheduling for efficient prescription management.
DEA-compliant EPCS with biometric two-factor authentication for secure controlled substance prescribing
RXNT is a cloud-based electronic prescribing (eRx) software integrated with EHR and practice management tools, enabling healthcare providers to send prescriptions electronically with real-time checks for drug interactions, formularies, and patient allergies. It supports electronic prescribing of controlled substances (EPCS) via DEA-compliant two-factor authentication, ensuring secure handling of Schedule II-V drugs. Designed for efficiency, RXNT streamlines workflows by integrating with over 100 pharmacies and major insurance providers for eligibility verification.
Pros
- Comprehensive EPCS support for controlled substances with robust security
- Seamless integration with EHR, PM, and 100+ pharmacies for quick dispensing
- Real-time alerts for interactions, formularies, and insurance eligibility
Cons
- Higher pricing tiers can be costly for solo practitioners
- Occasional reports of customer support delays during peak times
- Mobile app functionality lags slightly behind desktop version
Best For
Small to mid-sized medical practices needing integrated e-prescribing with EHR capabilities.
Pricing
Starts at $99/provider/month for eRx standalone; full suite from $149-$399/provider/month (billed annually).
athenahealth
enterpriseComprehensive cloud EHR with advanced e-prescribing features including patient engagement and revenue cycle management.
Real-time clinical intelligence with predictive analytics for dosing and interactions
Athenahealth's athenaOne platform provides integrated e-prescribing as part of its comprehensive cloud-based EHR and practice management solution. It supports secure electronic prescriptions via Surescripts, including controlled substances (EPCS), with real-time checks for drug interactions, allergies, formulary status, and prior authorizations. Designed for medical practices, it streamlines prescribing workflows while ensuring compliance with regulations like Meaningful Use and MIPS.
Pros
- Seamless EHR integration for unified workflows
- Advanced clinical decision support with interaction and formulary checks
- Strong compliance tools including EPCS and interoperability via athenahealth Network
Cons
- Steep learning curve for new users
- High pricing for smaller practices
- Occasional reports of customer support delays
Best For
Mid-sized to large medical practices seeking an all-in-one EHR with robust e-prescribing capabilities.
Pricing
Custom subscription pricing starting at ~$300-$500 per provider/month, based on practice size and modules selected.
Practice Fusion
specializedFree cloud-based EHR offering integrated electronic prescribing for small practices with charting and scheduling.
Ad-supported free model that eliminates upfront costs for comprehensive e-prescribing
Practice Fusion is a cloud-based electronic health record (EHR) platform with integrated e-prescribing capabilities, enabling providers to send electronic prescriptions directly to pharmacies via Surescripts. It includes features like drug interaction checks, allergy alerts, formulary lookups, and support for electronic prescribing of controlled substances (EPCS). Designed for small practices, it streamlines prescribing workflows while maintaining compliance with regulations like meaningful use.
Pros
- Completely free core e-prescribing with no subscription fees
- Intuitive, web-based interface accessible from any device
- Robust Surescripts integration for real-time pharmacy connectivity and patient med history
Cons
- Pharmaceutical ads displayed within the platform
- Customer support response times can be inconsistent
- Limited customization options for advanced e-prescribing workflows
Best For
Solo practitioners and small clinics seeking a cost-free, user-friendly e-prescribing solution integrated with basic EHR functionality.
Pricing
Free for core EHR and e-prescribing; premium support and advanced features available for $149/user/month.
Kareo
specializedPractice management and EHR platform with seamless e-prescribing, billing, and telehealth capabilities.
End-to-end integration of e-prescribing with automated billing and claims processing for faster reimbursements
Kareo is a cloud-based platform primarily designed for independent medical practices, offering integrated electronic health records (EHR), practice management, billing, and e-prescribing solutions. Its e-prescribing module enables secure electronic transmission of prescriptions via Surescripts, including support for controlled substances through EPCS certification, formulary checks, and prior authorizations. The tool streamlines prescribing workflows by pulling data directly from patient charts, reducing errors and improving efficiency.
Pros
- Seamless integration with EHR and billing for unified workflows
- EPCS support for controlled substances and real-time formulary/drug interaction checks
- Patient portal integration for e-prescription delivery and communication
Cons
- Pricing can be steep for smaller practices without needing full suite
- Occasional interface glitches and slower load times reported by users
- Steeper learning curve for customization and advanced features
Best For
Small to mid-sized independent medical practices seeking an all-in-one platform with robust e-prescribing integrated into EHR and revenue cycle management.
Pricing
Subscription-based starting at around $144 per provider/month for Clinical+EHR bundle including e-prescribing; custom quotes for additional modules.
CharmHealth
specializedAll-in-one EHR solution providing robust e-prescribing, patient portal, and compliance tools for independent providers.
EPCS Gold certification enabling secure prescribing of Schedule II-V controlled substances directly from the EHR
CharmHealth is a cloud-based EHR platform with integrated e-prescribing functionality designed for medical practices. It enables secure electronic prescriptions via Surescripts network, including support for controlled substances through EPCS certification. The system offers drug interaction checks, formulary verification, and seamless workflow integration with patient records and practice management.
Pros
- Integrated EPCS for controlled substances
- Real-time drug interaction and formulary checks
- Affordable all-in-one EHR solution
Cons
- Occasional interface glitches reported
- Customer support response times vary
- Limited advanced analytics for e-prescribing
Best For
Small to mid-sized practices seeking cost-effective EHR-integrated e-prescribing.
Pricing
Starts at $199/provider/month for Essentials plan; Premium at $349 and Enterprise at $549, billed annually.
eClinicalWorks
enterpriseIntegrated EHR and practice management system with electronic prescribing, population health, and telehealth features.
AI-powered clinical decision support with predictive insights for safer, more efficient prescribing
eClinicalWorks is a comprehensive electronic health records (EHR) platform that includes integrated e-prescribing (eRx) functionality, enabling providers to electronically transmit prescriptions to pharmacies with real-time drug interaction alerts, formulary checks, and allergy warnings. It supports electronic prescribing of controlled substances (EPCS) and integrates with state prescription drug monitoring programs (PDMPs) for enhanced safety. The system streamlines workflows by pulling full patient history directly into the prescribing process.
Pros
- Seamless EHR integration for context-aware prescribing
- EPCS compliance and PDMP connectivity
- Comprehensive safety checks including interactions and duplicates
Cons
- Steep learning curve and cluttered interface
- Reported reliability issues and slow performance
- Customer support response times can be inconsistent
Best For
Small to medium-sized medical practices needing an all-in-one EHR with reliable e-prescribing capabilities.
Pricing
Custom quote-based; typically $400-$600 per provider/month for EHR bundle including eRx.
Epic Systems
enterpriseEnterprise EHR platform delivering sophisticated e-prescribing with interoperability and clinical decision support.
Seamless, bidirectional integration with Epic's EHR and Surescripts network for real-time, context-aware prescribing tied to full patient history
Epic Systems offers a robust electronic prescribing (eRx) solution integrated within its flagship Epic EHR platform, enabling clinicians to transmit prescriptions electronically to pharmacies nationwide via Surescripts. It includes real-time checks for drug interactions, allergies, formulary status, and dosing guidance, with support for controlled substances through EPCS compliance. The system excels in large-scale environments, providing seamless data flow from patient records to pharmacy fulfillment and advanced analytics for population health management.
Pros
- Unmatched integration with comprehensive EHR for holistic workflows
- Advanced clinical decision support and EPCS for controlled substances
- Proven scalability in major hospitals with high reliability
Cons
- Extremely high implementation costs and lengthy setup (often 1-2 years)
- Steep learning curve requiring extensive training
- Overkill for small practices; not a lightweight standalone eRx tool
Best For
Large hospitals, health systems, and academic medical centers seeking enterprise-grade, fully integrated e-prescribing within a broader EHR ecosystem.
Pricing
Custom enterprise pricing; implementation often exceeds $1M+ with ongoing per-user subscription fees scaling to millions annually based on organization size.
Cerner
enterpriseHealth IT suite with electronic prescribing integrated into comprehensive EHR for hospitals and large practices.
Integrated e-prior authorization workflow that streamlines approvals directly within the prescribing interface
Cerner, through its Millennium EHR platform, offers robust e-prescribing capabilities integrated into a comprehensive electronic health records system. It enables healthcare providers to electronically transmit prescriptions to pharmacies via Surescripts, perform real-time drug interaction checks, manage formularies, and handle controlled substances with electronic prescribing for schedules II-V. The solution emphasizes clinical decision support and seamless workflow integration for high-volume environments like hospitals and large practices.
Pros
- Deep integration with EHR for unified patient data and workflows
- Advanced clinical decision support including allergy and interaction alerts
- Strong compliance with DEA, HIPAA, and e-prior authorization standards
Cons
- Steep learning curve and complex interface for new users
- High implementation costs and lengthy setup process
- Less intuitive for small practices compared to standalone eRx tools
Best For
Large hospitals and health systems requiring enterprise-grade e-prescribing fully embedded in their EHR ecosystem.
Pricing
Custom enterprise pricing starting at $500K+ annually for mid-sized implementations, with per-provider fees around $300-500/month; quotes required.
Allscripts
enterpriseEHR and connectivity platform supporting e-prescribing with population health and analytics tools.
Seamless EPCS support for electronic prescribing of controlled substances with two-factor authentication
Allscripts offers a comprehensive e-prescribing solution integrated into its broader EHR and practice management platforms, such as Sunrise and TouchWorks, enabling providers to send electronic prescriptions directly to pharmacies. It includes advanced features like drug interaction checks, formulary verification, and support for controlled substances via EPCS compliance. The software facilitates seamless connectivity through networks like Surescripts, supporting both ambulatory and inpatient environments for efficient prescribing workflows.
Pros
- Deep integration with Allscripts EHR for unified patient data access
- Robust safety features including allergy and interaction alerts
- Nationwide pharmacy connectivity via Surescripts network
Cons
- Steep learning curve and complex interface for new users
- High implementation and customization costs
- Occasional reports of slower performance during peak usage
Best For
Mid-to-large healthcare practices or hospitals needing fully integrated EHR and e-prescribing capabilities.
Pricing
Custom enterprise pricing; typically $500+ per provider/month as part of full EHR suite, with one-time implementation fees.
Conclusion
The review of top e-prescribing tools highlights DrFirst Rcopia as the leading choice, excelling with real-time formulary checks and error prevention. RXNT follows, offering integrated EHR, billing, and scheduling, while athenahealth stands out for comprehensive EHR features including patient engagement. These three tools set the standard, each addressing distinct provider needs yet proving highly effective in streamlining prescription management.
Begin optimizing your practice with the top-ranked tool: try DrFirst Rcopia to experience its robust real-time capabilities and error prevention, designed to elevate prescription accuracy and efficiency.
Tools Reviewed
All tools were independently evaluated for this comparison
